患者,女性,38岁,工人。因持续高热10天,体温38℃以上,呈稽留热型,经用退热剂后,体温下降不明显,伴头痛,全身关节酸痛,极度乏力,食欲不振,恶心、呕吐胃内容物1次。发热第3天,曾腹泻1次,后转为便秘,腹胀。曾在外院就诊,予以先锋霉索Ⅳ号等治疗,发热不退。本院门诊以发热待查收入病房。入院体检:体温39℃。脉搏100次/分,呼吸20次/分,血压112/75mmHg(1(?)mHg=0.133kPa)。意识清晰,表情淡漠,咽充血, Patient, female, 38 years old, worker. Due to sustained high fever for 10 days, body temperature above 38 ℃, was kept hot type, the use of antipyretics, the body temperature dropped significantly, with headache, generalized joint pain, extreme fatigue, loss of appetite, nausea, vomiting stomach content 1 times. The first 3 days of fever, had diarrhea 1, after constipation, bloating. Had seen in the hospital, to be pioneer mold cable No. IV and other treatment, fever. Hospital outpatient fever check pending income ward. Admission medical examination: body temperature 39 ℃. Pulse 100 beats / min, breathing 20 beats / min, blood pressure 112 / 75mmHg (1 (?) MHg = 0.133kPa). Consciousness, apathy, pharyngeal congestion,